艾烟刺激敏感针灸师人群流行病学特征分析——基于733例面对面横断面调查数据  

Epidemiological characteristics of acupuncturists who are sensitive to stimulation of moxa smoke: a face-to-face sectional survey based on 733 participants

作　　者：余常[1] 王祥[2] 吴巧凤[1] 杨娇 张玥玥[1] 张承舜[1] 唐勇[1] 余曙光[1] YU Chang;WANG Xiang;WU Qiao-feng;YANG Jiao;ZHANG Yue-yue;ZHANG Cheng-shun;TANG Yong;YU Shu-guang(College of Acupuncture-Moxibustion and Tuina,Chengdu University of TCM,Chengdu610075,Sichuan Province,China;First Affiliated Hospital of Xi'an Medical University;Department of Acupuncture-Moxibustion and Tuina,TCM Hospital of Guang'an City)

机构地区：[1]成都中医药大学针灸推拿学院,四川成都610075 [2]西安医学院第一附属医院 [3]广安市中医医院针灸推拿科

出　　处：《中国针灸》2020年第1期49-53,共5页Chinese Acupuncture & Moxibustion

基　　金：国家重点基础研究发展计划项目：2015CB554504;四川省科技创新苗子工程项目：2019042

摘　　要：目的:探索易产生艾烟刺激反应的针灸师人群流行病学特征,为临床艾烟安全性防护提供进一步指导;进一步验证网络调查的可行性。方法:自制艾烟机体反应调查问卷,对临床长期从事艾灸工作的针灸医师进行面对面问卷调查,运用Logistic回归模型分析影响针灸师易产生刺激反应的因素,获取对艾烟刺激敏感针灸师人群的流行病学特征。结果:共获取733例有效数据。多因素Logistic回归模型分析显示,慢性呼吸疾病史是接触艾烟后产生咳嗽、喉中有痰、气喘、呼吸困难、短气、鼻干刺激反应的影响因素(P<0.05,P<0.01);女性发生咳嗽、流泪、鼻干刺激反应的风险性高于男性(P<0.05,P<0.01);吸烟者发生眼干、眼痛的风险性高于不吸烟者(P<0.05);二手香烟暴露者发生短气的风险性高于非二手烟暴露者(P<0.05)。指数趋势线分析表明,网络调查和面对面调查所反映的机体刺激反应结果基本一致。结论:针灸师长期接触艾烟后产生机体刺激反应与慢性呼吸疾病史、女性、吸烟或二手香烟暴露有关,应对这类人群予以重点关注。网络问卷调查可用于艾烟安全性流行病学调查。Objective To explore the epidemiologic characteristics of acupuncturists who are sensitive to stimulation of moxa smoke, which could provide further direction for safety protection of exerting moxibustion and to further verify the feasibility of internet survey. Methods A self-made questionnaire regarding body response to moxa smoke was established, which was used to conduct a face-to-face survey among acupuncturists who had performed long-term moxibustion. The Logistic regression model was used to analyze the factors affecting the stimulation response of acupuncturists and the epidemiological characteristics of acupuncturists was obtained. Results A total of 733 valid data was obtained. The multivariate Logistic regression analysis showed that the history of chronic respiratory disease was the main risk factor of stimulus response including cough, phlegm in the throat, asthma, dyspnea, shortness of breath and nasal dryness after exposure to moxa smoke(P<0.05, P<0.01). The risk of stimulus response such as cough, tearing and nasal dryness was higher in women than in men(P<0.05, P<0.01). The risk of dry eyes and eyes pain in smokers was higher than those in non-smokers(P<0.05). The risk of shortness of breath in those who were exposed to second-hand smoke was higher than those who were not exposed to second-hand smoke(P<0.05). The analysis of index trend line showed that the results of internet survey were similar to those of face-to-face survey. Conclusion The stimulus response of acupuncturist after long-term exposure to moxa smoke is related to the history of chronic respiratory disease, being female, smoking or exposure of second-hand smoke, therefore more attention should be paid to those populations. In addition, the internet survey can be used for the epidemiological investigation of safety of moxa smoke.

关 键 词：艾烟 刺激反应 针灸师人群 安全性 流行病学调查 

分 类 号：K246.1[历史地理—历史学]